Individual provider Active NPI

Viktorija A Joga, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1548360555
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20733 Issued in CA
Practice address
13101 W Washington Blvd Ste 114
Los Angeles, CA 90066-5176
Phone
(104) 333-6573
Fax
(310) 828-3532
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC20733 CA Primary

Addresses

Primary practice location

13101 W Washington Blvd Ste 114
Los Angeles, CA 90066-5176

Mailing address

510 S Gertruda Ave
Redondo Beach, CA 90277-4243
Phone (104) 333-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702001292 CA Practitioner - Chiropractic 9830176189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13101 W Washington Blvd
Suite 114
Los Angeles, CA 90066-5176
Phone (310) 433-3657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC20733CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joga Chiropractic Center, Inc Chiropractor CurrentSince Sep 15, 2010 Accepting new patients

Locations

13101 W Washington Blvd
Ste 115
Los Angeles, CA 90066

13101 W Washington Blvd
Ste 114
Los Angeles, CA 90066
Phone (310) 433-3657

8929 S Sepulveda Blvd
Ste 100
Los Angeles, CA 90045
Phone (424) 800-2488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1548360555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S GERTRUDA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774243",
            "telephone_number": "104-333-6573",
            "fax_number": "310-828-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665176",
            "telephone_number": "104-333-6573",
            "fax_number": "310-828-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOGA",
        "first_name": "VIKTORIJA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.